Manila Bulletin
Strict audit of PhilHealth by COA sought
The Commission on Audit (COA) is conducting five separate audits involving the Philippine Health Insurance Corp. (PhilHealth).
Two of these audits are in conjunction with the National Bureau of Investigation (NBI), focusing on allegations of fraud and fictitious payments.
The Insurance Commission (IC) is examining PhilHealth's actuarial life, while COA is investigating the agency's case rate system and IT systems.
Senator Juan Edgardo Angara urged COA to thoroughly scrutinize PhilHealth's financial statements and specifically called for an audit of the Interim Reimbursement Mechanism (IRM) policy for COVID-19 cases.
Senators are questioning the IRM policy, suspecting it may favor certain hospitals, and are also looking into an allegedly overpriced PhilHealth Information Technology (IT) system project.
Lawmakers are exploring ways for Congress to address PhilHealth's fund deficit, which has been attributed to corruption and the COVID-19 pandemic.
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The Senate is investigating alleged multi-billion peso corruption within PhilHealth, with a whistleblower claiming a "mafia" has pocketed approximately PHP15 billion.
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Senate President Pro Tempore Ralph Recto stated that the PhilHealth board, which includes five members of President Duterte's Cabinet, has apparently neglected its duties, leading to the state insurer's "implosion."
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The House committee on public accounts will investigate PhilHealth's P14 billion advance payments for coronavirus treatment to detect any potential fraud or overpayment.
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Philippine Health Insurance Corporation (PhilHealth) president and CEO Ricardo Morales estimates that P10.2 billion was lost to fraud in 2019, a figure that could double by next year if unaddressed.
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Justice Secretary Menardo Guevarra has urged PhilHealth officials implicated in corruption allegations to voluntarily go on leave to facilitate the ongoing investigation.
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